Title:
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Evading drug efflux with drug-binding peptides
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The efflux of drugs, particularly multi-drug resistant (MDR) drugs, by transporters
such as P-glycoprotein provides an additional hurdle to achieving high levels of drug
bioavailability. The aim of this project was to investigate drug-binding peptides as
potential delivery tools, which might circumvent drug efflux by transporters such as Pglycoprotein.
Popkov et 01 1998 reported a number of phage-displayed peptides
(I Omers), which bound to doxorubicin. A literature search was carried out and several
other potential drug-binding sequences were identified. Peptides were synthesised and
then screened for drug-binding and their effect on drug interactions with P-glycoprotein.
Due to the small and hydrophobic nature of the drug and peptide molecules, both
homogeneous and heterogeneous drug-peptide binding assays were investigated. Drugpeptide
binding was identified in one sequence using circular dichroism, size exclusion
HPLC, equilibrium dialysis and a new biosensor, the Farfield AnalightBi0200.
Competition assays using the fluorophores rhodamine 123 and calcein-AM suggested
that MDR drugs formed complexes with these fluorophores. Drug-peptide aggregates
were also identified by particle sizing, using photon correlation spectroscopy.
Drug-P-glycoprotein interactions were investigated using a cell-based competition
assays, cytotoxicity and MDCK cell monolayer transport studies. All the potential
drug-binding peptide sequences were screened using a calcein-AM competition assay in
PGP over-expressing cells (CHO CHRC5), whereby calcein-AM and drug (± peptide)
compete to interact with P-glycoprotein. Only the Popkov-reported sequences were
found to reduce drug-P-glycoprotein interactions. However, these sequences did not
enhance the cytotoxicity of doxorubicin or vinblastine (cytotoxic P-glycoprotein
substrates) in Caco-2 or CHO CHRC5 cells. MDCK monolayer studies found the
peptide to have a slight but not significant effect on 3H vinblastine basal to apical
transport. This difference may be due to greater sensitivity of the calcein AM compared
to the monolayer transport assay.
With a view to enhancing the delivery properties of the drug-binding peptides, new
sequences containing cell-penetrating motifs were synthesised. The Penetratin sequence
was synthesised in tandem to a drug-binding peptide sequence, whilst the Simian virus
40 motif was added to the peptide using a linker. Both these peptides gave similar
results in the calcein-AM competition assay as the drug-binding peptide alone. The
ability of the peptides to penetrate cell membranes was tested using a calcein-liposome
leakage assay. Both the new sequences were slightly lytic, but complete liposome lysis
particularly resulted when tamoxifen was added. Interestingly, a similar result was
achieved with the drug-binding peptide sequence alone.
Some drug-binding peptides appear to affect the behaviour of P-glycoprotein in
suspended-cell transport models, when assayed by calcein-AM. However, the
interaction between drugs and peptides in other cell-based models appears more
complex.
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